RAPIDLab® 348EX Blood Gas System Overview Online Training

Welcome to the RAPIDLab® 348EX System Overview Online Training course. The RAPIDLab 348EX System is designed to determine pH, pCO2, pO2, Na+, K+, Ca++ or Cl-, and Hct in heparinized whole blood samples. The system also measures pH, pCO2, Na+, K+, and Ca++ in acetate- and bicarbonate-based dialysis fluids (dialysate). This course will introduce you to the hardware and software components and the system consumables that are necessary to operate the system. Select Next to continue. Upon successful completion of this course, you will be able to: Identify the system hardware components Describe the system consumables Explain the components and function of the Ready screen Identify the components and function of the Main Menu Select Next to continue. Congratulations. You have completed the RAPIDLab 348EX System Overview Online Training course. Listed below are the key points that have been presented. Take time to review the material before you proceed to the final quiz. Download and print a copy of the Course Review. Identify the system hardware components The front and side view components include: Front cover Touch screen Measurement block with sensors (can contain the Ca++ or Cl- sensor, but not both) Sample probe lever Sample probe 6.8/7.3 buffer bottles Wash bottle Waste bottle Reagent pump Sample pump Barcode reader Gas tanks The rear view components include: USB ports Serial communication port Power module – On/Off switch, power connector and fuses   Describe the system consumables  The system consumables include: Sensors or electrodes: Highly selective Measure specific concentrations Reference, pH, pCO2, pO2, Na+, Cl-, K+, Ca++, and Hct Fill solution: KCl – for reference sensor Electrolyte Fill Solution (Na+, Cl-, K+, and Ca++) - for the Na+, Cl-, K+ and Ca++ sensors pH Fill Solution - for the pH sensor pCO2 and pO2 sensors - do not require fill solution Reagents: 7.382 buffer - provides the calibration point for pH, electrolytes, and hematocrit 6.838 buffer - provides slope point for 2-point pH and electrolyte calibrations Wash reagent - washes the sample probe and sample path Deproteinizer - removes protein buildup from the sample path (regular preventative maintenance) Conditioner - cleans and conditions the pH and sodium sensors (regular preventative maintenance) Hct slope - provides the slope point for 2-point Hematocrit calibrations Gas cartridges: Gas 1 - provides the calibration point for 1- and 2-point pCO2 and pO2 calibrations Gas 2 - provides the slope point for 2-point pCO2 and pO2 calibrations RAPIDQC Complete, RAPIDQC Plus, and RAPIDQC Hct (QC ampoules) Syringes and capillary tubes Printer paper Various sensors include: Reference sensor pH sensor Na+, Cl-, K+, and Ca++ pCO2 and pO2 Hct sensor Explain the components and function of the Ready screen  The Ready screen is the default screen on the RAPIDLab 348EX system where you can process: syringe, capillary, QC and dialysate samples.   Two message areas display as a white box in the center of the Ready screen: Instructions that direct you to “Lift probe to analyze X sample (where X is the sample type selected) Message that states “User Action Required” only when one or more of the Action list items needs attention An animation of the probe lever lifting the probe and a sample with an arrow pointing towards the probe, displays in the bottom-right corner of the screen.   At the top of the screen is the Banner. It contains: The current status of the instrument A countdown message indicating the time until the next calibration is due The Settings icon that takes you to the Main Menu The Action list icon that takes you to the Action list Today’s date The current time    Identify the components and function of the Main Menu   The Main Menu submenus consist of: Calibration – Initiate any of the 8 calibration types here Maintenance – perform tasks associated with deproteinizing, conditioning, priming, disinfecting, stopping the system, cleaning the screen, calibrating the screen, and adjusting the display brightness Troubleshooting – perform troubleshooting of the measurement block, sample flow, heater, electronics, printer, and sensors Data Recall – recall and print sample and QC data, and print Cal summary Operating Setup – setting up QC, reference ranges, units, calibration, printer options, and correlation System Setup – set up date and time, maintenance prompts, parameters, beeper, communications, security, and printer setup Standby – put system into Standby, set auto restart time, and manually restart system Service Setup – view system information, set the desired language, and perform a software update Select Next to continue. The RAPIDLab 348EX System has several key components that play a role in the system's operation. Note: The system's serial number (SN) is located on the back-left side of the instrument, below the "RAPIDLab 348EX System" label.     Front and Left Side Components Learn about the location of the front and left side components by selecting the image areas. Base ImageHotspotsText BlocksImage FileTouch screen: Displays a series of menus and screens for navigation through the system functions, selection and performance of specific actions, and results through the color touch screen.Wash reagent bottle: Houses the wash reagent  Probe: Aspirates the samples for measurement  6.8/7.3 buffer bottles: Houses 6.8 and 7.3 buffer reagents  Waste reagent bottle: Provides the receptacle for waste  Front cover: Protects the measurement block, sample and reagent pumps, and the tubing for the reagents and wasteMeasurement block with sensors: Area that houses the sensors where all of the measurements occur Note: The block can either contain the Ca++ or Cl- sensor, but not both at the same time.Barcode reader: Used to scan the patient and operator barcode identification labels Gas Tanks Learn about the location of the gas tanks. Gas tanks 1 and 2: Provide calibration and slope points for pCO2 and pO2 When complete, select the X in the upper-right corner to close the window and continue. Sample and Reagent Pumps Learn about the location of the pumps. Sample pump (on left): Rotates clockwise to move the samples through the system Reagent pump (on right): Rotates clockwise to move the reagents through the system When complete, select the X in the upper-right corner to close the window and continue. Back Panel Components Learn about the location of the back panel components. Element HTMLSerial Communication Ports: Used to communicate with the Siemens RAPIDComm® Data Management System,the Laboratory Information System (LIS), or the Hospital Information System (HIS)USB Port: Used to connect the barcode scanner to the system, perform software installations via a USB flash drive, and download select file informationNote: The Power Module, which includes an ON/OFF switch, a power connector, and fuses, is not displayed here but is located on the back of the instrument above the fan on the right side.When complete, select the X in the upper-right corner to close the window and continue. Sound File Audio ScriptThere are two serial communication ports on the system that are used to communicate with RAPIDComm, the LIS, or the HIS. There is a USB port for connecting the barcode scanner to the system, performing software installations via a flash drive, and downloading select file information. Take note that the power module, which includes an ON/OFF switch, a power connector, and fuses, is not shown in this image. It is located above the fans on the right side. When complete, select the X in the upper-right corner to close the window and continue. The RAPIDLab 348EX System uses various reagents, sensors and consumables for blood gas, electrolyte, and hematocrit sample measurements and certain maintenance tasks. The sensors or electrodes, which are highly selective, measure the concentration of specific substances.   The pH sensor is based on ISE technology. The measured potential created reflects the hydrogen ion concentration of the sample and is used to calculate the pH value. The electrolyte sensors, all based on ISE technology, measure the individual electrolyte concentrations - sodium, potassium, chloride, and ionized calcium. The pH and electrolyte sensors are all half cells that form a complete cell with the external reference sensor housed in the measurement chamber. The gas sensors, pCO2 and pO2 measure the amount of carbon dioxide and oxygen in the sample, and use amperometric technology. The Hct sensor measures the conductivity of the sample, and is expressed as a percentage. Fill Solutions:     Sensors Fill Solution Electrolyte Na+/K+/Ca++/Cl- pH pH Reference KCl Note: The pCO2, O2, and hematocrit sensors are ready-to-use and require no maintenance. Reagents Function 7.382 buffer Provides the calibration point for pH, electrolytes, and hematocrit 6.838 buffer Provides the slope point for 2-point pH and electrolyte calibrations Wash reagent Washes the probe and sample path Deproteinizer Removes any protein buildup from the sample path (regular preventative maintenance) Conditioner Cleans and conditions the pH and sodium sensors (regular preventative maintenance) Hct slope Provides the slope point for the 2-point Hct calibration (regular preventative maintenance) Additional consumables needed for system operation include: Quality control material such as RAPIDQC Complete, RAPIDQC Plus, and RAPIDQC Hct - all glass ampules containing QC material Syringes - for sample collection Capillary tubes - for sample collection Printer paper - for on-board internal printer   There are two gas cartridges used on the system: Gas 1 - provides the calibration point for 1- and 2-point pCO2 and pO2 calibrations Gas 2 - provides the slope point for 2-point pCO2 and pO2 calibrations Select Next to continue. The Ready screen is the default screen on the RAPIDLab 348EX system. Here you can process: Syringe, capillary, QC, and dialysate fluid samples by selecting one of the four sample types located on the left side of the Touch screen In the center of the screen, you will see a white message area containing instructions that direct you to "Lift probe to analyze X sample" (where X is the currently selected sample type - syringe, capillary, QC, or dialysis fluid).   On the bottom-right corner of the screen is an animation of the sampling process. The operator is directed to lift the probe lever to the correct sampling position and proceed with sampling. At the top of the Ready screen is the Banner. It contains: The current status of the instrument (Ready, Not Ready, Standby) A countdown message indicating the time until the next calibration is due The Settings icon that takes you to the Main Menu The Action list icon that takes you to the Action list Today's date The current time The Action List screen contains a list of submenu items associated with maintenance tasks that the system prompts you to initiate. If user action is required, a generic prompt displays in the white box, in the center of the Ready screen, and states "User action required". The Action List items include: Sensor calibration Deproteinize Condition Hct Slope Gas Printer QC Empty Waste Bottle Select Next to continue. The Main Menu consists of eight different submenus: Calibration Maintenance Troubleshooting Data Recall Operating Setup System Setup Standby Main Menu Submenus Learn about the different submenus of the Main Menu. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90011666/sim_RL348EX_SO_MainMenu_both_650x520/sim_RL348EX_SO_MainMenu_both_650x520.swfHTML5 File:/content/generator/Course_90011666/sim_RL348EX_SO_MainMenu_both_650x520/index.htmlPDF File: